PETER CHARLES MATTSON
NPI 1356961536
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 17, 2020PECOS Enrolled
2051 MARENGO ST, LOS ANGELES, CA 90033(323) 409-7053 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2023, Apr 17, 2020 (2 updates tracked since 2020).

About Peter Charles Mattson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER CHARLES MATTSON (NPI 1356961536) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356961536
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePETER CHARLES MATTSON
Location Address2051 MARENGO STLos Angeles, CA 90033-1352
Mailing Address2051 Marengo StLos Angeles, CA 90033-1352 · (323) 409-7053
Sole ProprietorNo
Enumeration DateApril 17, 2020
Last NPPES UpdateJuly 7, 20232 updates tracked since enumeration
NPPES CertifiedApril 17, 2020
NPI 1356961536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2051 MARENGO ST, Los Angeles, CA 90033

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Peter Charles Mattson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2051 MARENGO ST
LOS ANGELES, CA 90033
Obstetrics & Gynecology
2051 MARENGO ST
LOS ANGELES, CA 90033
Clinical Nurse Specialist
2051 MARENGO ST
LOS ANGELES, CA 90033
Respiratory Therapist, Registered
2051 MARENGO ST
LOS ANGELES, CA 90033
Psychiatric Unit
2051 MARENGO ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
2051 MARENGO ST
LOS ANGELES, CA 90033
Respiratory Therapist, Registered (Neonatal/Pediatrics)
2051 MARENGO ST
LOS ANGELES, CA 90033
Respiratory Therapist, Registered
2051 MARENGO ST
LOS ANGELES, CA 90033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Mattson's NPI number?

The NPI number for Peter Mattson is 1356961536. It was assigned to this individual provider in the NPPES registry on April 17, 2020.

Where is Peter Mattson located?

Peter Mattson practices at 2051 Marengo St, Los Angeles, CA 90033. The listed phone number is (323) 409-7053.

What is Peter Mattson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Peter Mattson enrolled in Medicare?

Yes. Peter Mattson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Mattson was last updated on July 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.